hey thanks for joining us this is Wendy and Wendy you've been having some
vertigo right and it seems to happen we're turning over in bed almost every
time which is kind of classic for benign paroxysmal positional vertigo that we've
talked about on videos before where I'll go through the three with the four words
benign meaning it's not dangerous positional meaning it's based on his
body position or head position turning paroxysmal just means it's intermittent
and vertigo referring to the illusion of movement the eyes go like this and so it
looks like things are moving like you just got off the merry-go-round you
described that earlier so we're going to do the dict how pike maneuver first to
test for it and then continue into the Epley maneuver in order to make it go
away so when we do it we'll have you lie back
rather quickly head tilt it back and turn toward me I'll position myself to
be right where your eyes will be there we go all right that's perfect you're in
exactly the right place and your eyes are perfectly still in this direction oh
I see it do you feel it it's kicking in so let's see if that will stop it
okay not terribly intense though so here's what it was at home yeah and from
looking at it looks like it's not that intense and if it's still going I office
still going open your eyes bright as you can busy hand so for the Epley maneuver
we're going to have you do something here I need you to carefully turn your
head to the other side slowly mm-hmm
and how's that feel doesn't feel man does it feel bad okay we have you stay
here for about any feeling just a little about 30 seconds okay so start to turn
onto your left side of your bottom down try to pull a pillow out from underneath
you if I can ideally your head would continue and continuously touch the
table and turn even more your tilt your head anymore and then give me a 30
another 30 seconds how are you feeling and then the next step will be just
simply to have you sit up moving from where you are toward your right so we're
going to we have your feet go up the others in front of you on the table
there all right so moving move your legs up here so they can go off the edge of
the table and come up sideways how do you feel a little bit so is that the
same maneuver that you saw him lying no she had you kneel on the floor put your
head back and then bring it forward onto the floor
alright I'm going to print out some instructions that show a diagram of how
to go through this so you can do it at home if you need to but this is the
correct way of doing it so you use and for you its first you do lie with your
head turn to the right because that's what triggers it then you turn over to
the opposite side then you turn your head down to the table and then you sit
up not that many steps to it right yeah I can feel like just a little weirdness
in my head is all I'm doing right now okay we can do it again if you want you
can do it again come on do it again let's get a pillow back so this is going
to be a second Epley maneuver and on this one let's start so that your feet
can be more on the table if you have to say even more you remember how to do
that right the head is back and tilted and turn to the right so go ahead and
let the head yeah so that part of your head that's touching the table there's a
little bit not much that part your head that's touching the
table I want it to stay in continuous contact with the table so give me 30
seconds so turn your head to the other side now keep not all the way over just
not not not that far just there it's only 90 degrees at a time and then after
30 seconds well we'll go over to the nose touching the table again keeping
that head in contact with the table the whole time and now turn to have your
nose touching the table yeah you kind of get over on your side there now I'm
going to put my hand here because you're so yeah she's kind of looking into the
table now 30 seconds of this and then we'll have you sit up sideways alright
so put your feet forward or your knees forward there you go
and roll sideways looking straight ahead how are you is it better than last time
oh yes so progressively it does get better as you do it like I said we had
one video where a patient completely had resolution with just doing this one time
usually you have to do it sometimes it takes days rarely will it go into weeks
that's rare that it goes that long and you didn't even need this yeah because
because it's getting better its extinguishing yeah and this does get
better as you go along even without the exercises generally
just life walking around your head moving the problem gets resolved and we
think what's going on is that there's a little calcification inside of the inner
ear that's kind of going against the flow in a fluid environment giving your
brain false information false messages of movement rotational movement so that
when you rotate a certain way the whole system gets knocked off and your brain
doesn't like getting conflicting information that's getting one message
from the inner ear that you move in a certain way because it's messed up but
your eyes are telling you something else and your whole body sense you know
knowing where you are in space the body knows when you sitting or standing or
turn even with your eyes closed and even
without the information from the inner ear so when those things don't add up
the body feels really really badly it lets you know something's wrong and
we're going to get those things matched up again the body tries to make up for
it by having the motion of the eyes match what the ear is telling the inner
ear is telling it and that's why I use do that it's trying to synchronize the
two and so you get psychotic eye movements sorry you had to experience
that thank you so much for being a part of this thank you for joining us and if
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until next time dr. Marc Vaughn and Wendy telling you to stay in good health